HomeMy WebLinkAboutForm 460 - Kate Colin for City Council 2017 (2016-06-30)COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216 .5)
Statement covers period
from ____ 1/_1_/2_0_1_6 __
SEE INSTRUCTIONS ON REVERSE 6/30/2016 through ________ _
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
r;zJ Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall
(Also Complete Part S)
o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee
3. Committee Information
o Primarily Formed Ballot Measure
Committee o Controlled o Sponsored
(Also Complete Part 5)
o Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
Re-Elect Kate Colin for San Rafael City Council 2017
STREET ADDRESS (NO P.O. BOX)
CITY
San Rafael
STATE
CA
ZIP CODE
94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE
AREA CODE/PHONE
AREA CODE/PHONE
San Rafael CA 94915-0817
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
Date of election If appll(:abtt~
(Month, Day, Year)
2. Type of Statement:
o Preelection Statement
!;ZI Semi-annual Statement o Termination Stalement
(Also file a Form 410 Termination)
o Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Richard Kalish
MAILING ADDRESS
CITY
San Rafael
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
rkalish@kalishnexon.com
STATE
CA
STATE
o Quarterly Statement
o Special Odd-Year Report o Supplemental Preelection
Statement -Attach Form 495
ZIP CODE
94901
ZIP CODE
AREA CODE/PHONE
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and corr~ /" /l ~ /
Executed on July 27. 2016 By ____ ~:' /:.......,-=, ~_-:----:';""-:--;=----.J:..::.....,.....,-:-=-_4 _________ _
Date
Executed on ____ J_U..:.ly~2~7~.-2-0-1-6----
Date
Executed on -----~D;::a:::te:--------
Executed on -----...,D~a:::te-------
By _____ ~==~~~~~~~~~~~==~===_-----Signature of Controlling Officeholder. Candidate. State Measure Preponent
By _____ ~~~~~~~~~~~~~~~~~=_-------5IQnature ofControning Officeholder. Candidate, State Measure Preponent FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Type or print in ink. COVER PAGE -PART 2
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Kate B. Colin
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Councilmember
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE
San Rafael, CA 94901
ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
o YES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
o YES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE , OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Re-Elect Kate Colin for San Rafael City Council 2017
Contributions Received
1. Monetary Contributions .......................................... . Schedule A, Line 3 $
2 . Loans Received .................................................... .. Schedule S, Line 3
3 . SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4 . Nonmonetary Contributions .................................... Schedule C. Line 3
5 . TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $
Expenditures Made
6 . Payments Made ....................................................... Schedule E. Line 4 $
7 . Loans Made .... ...... ................... ...... ....... .... ............... Schedule H. Line 3
8 . SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9 . Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10 . Nonmonetary Adjustment .......................................... Schedule C. Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $
Current Cash Statement
12 . Beginning Cash Balance ....................... Previous Summary Page. Line 16 $
13 . Cash Receipts ................................................... Column A, Line 3 above
14 . Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15 . Cash Payments .................................................. Column A. Line 8 above
16 . ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtractLine 15 $
If th is is a termination statement, Line 16 must be zero.
17 . LOAN GUARANTEES RECEIVED ........................... Schedule S , Part 2 $
Cash Equivalents and Outstanding Debts
18 . Cash Equivalents ........................................ See instructions on reverse $
19 . Outstanding Debts ......................... Add Line 2 + Line 9 in Column S above $
ColumnA
TOTAl. THIS PERIOD
(FROM ATTACHED SCHEDULES)
o
o
o
o
o
1675
o
1675
o
o
1675
8855
o
o
1675
7180
o
o
o
from ___ 1/_1_/2_0_1_6 __ _
5 6/30/2016 through ________ _ 3 Page __ _ of __ _
$
$
$
$
$
$
ColumnB
CALENDAR YEAR
TOTAl. TO DATE
o
o
o
o
o
1675
o
1675
o
o
1675
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report . Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7 , and 9 (if
any).
1.0. NUMBER
1357514
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 1hrough 6/30 7/1 to Date
20 . Contributions
Received $ _____ _ $-----
21. Expenditures
Made $ ____ _ $-----
Expenditure Limit Summary for State
Candidates
22. Cumulative Expend i tures Made·
(If SubJecllo Voluntary Expenditure L)mll)
Date of Election
(mm/dd/yy)
-1-1 __
Total to Date
$-----
$-----
"Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3712)
SCHEDULEE
ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 1/_1_/2_0_1_6 __ _
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through __ 6_/3_0_/2_0_1_6 __ Page __ 4 _ of __ 5 _
NAME OF FILER I.D.NUMBER
Re-Elect Kate Colin for San Rafael City Council 2017 1357514
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
crvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees A-lO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)· pas postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VaT voter registration
UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
YMCA of Marin
1500 Los Gamos Drive MTG 125
San Rafael, CA 94903
Marin Women's Political Action Committee (FPPC 1332045
P.O. Box 113 CTB 200
Kentfield, CA 94914
Marin Forum
P. O. Box 1322 MTG 235
San Rafael, CA 94915
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 560
Schedule E Summary
1560 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ _____ _
115 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ _____ _
o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _
1675 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ _____ _
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
SCHEDULE E (CaNT.)
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 1/_1_/2_0_1_6 __ _
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
6/30/2016 through _______ _ Page __ 5_ of __ 5_
NAME OF FILER
Re-Elect Kate Colin for San Rafael City Council 2017
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
I.D.NUMBER
1357514
eM" campaign paraphernalia/misc . MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary,. OFC office expenses SAL campaign workers' salaries
CVC civic donations F£r petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)' PDS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VaT voter registration
UT campaign literature and mailings PRT print ads V\lEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE. ALSO ENTER 1.0 . NUMBER)
Cohen Public Affairs
P.O. Box 150268 CNS
San Rafael, CA 94915
• Payments that are contributions or independent expenditures must also be summarized on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNT PAID
1000
SUBTOTAL $ 1000
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)